Read Provider Update

This monthly newsletter delivers updates on policies, changes to benefits, and other news you need to know.

  • P = Professional
  • B = Behavioral health
  • F = Facilities

A Word from Dr. Collins

P B F
1 Set, 2021
Earlier this summer, I had the amazing opportunity to participate in the 2020 Olympic games in Tokyo...
P B F
1 Ago, 2021
In the 1950s and 1960s, the doctor’s housecall was a normal occurrence, and regular visits by doctor...
P B F
1 Jul, 2021
Blue Cross and Blue Shield of Rhode Island's (BCBSRI) vision of passionately leading a state of heal...

BCBSRI Update

P F
1 Set, 2021
As a reminder, our BlueCHiP Direct Advance plan is available to the individual commercial market thr...
P F
1 Ago, 2021
eviCore updated processing rules on 14 de julhoth for all Medicare code change requests.  The new proc...
P B F
1 Ago, 2021
BCBSRI encourages its participating providers to collaborate with us in supporting LGBTQ communities...

Provider Relations

P B F
1 Set, 2021
BCBSRI will conduct administrative terminations of provider agreements for providers who have not su...
P B F
1 Ago, 2021
BCBSRI will conduct administrative terminations of provider agreements for providers who have not su...
P B F
1 Jul, 2021
BCBSRI is committed to improving the health of our members by providing access to high quality, cost...

Physician & Provider Call Center

P B F
1 Jun, 2021
  Did you know our secured Physician and Provider Portal offers the following: •Check member benef...

Quality

P
1 Set, 2021
Well-child assessment Percentage of children (three-17 years old) who had an outpatient visit with ...
P
1 Ago, 2021
Breast cancer screening Women ages 50-74 who had a mammogram to screen for breast cancer in the pas...
P
1 Jul, 2021
Developmental screening in the first three years of life For members one to three years of age, the...

Behavioral Health

B
1 Set, 2021
Throughout the pandemic, healthcare workers’ top priority, as always, was the health and safety of t...
B
1 Set, 2021
Every September, the Substance Abuse and Mental Health Services Administration (SAMHSA) sponsors Nat...
B
1 Set, 2021
Follow-Up Care for Children Prescribed ADHD Medication (ADD) The HEDIS measure Follow-Up Care for C...

Farmácia

P F
1 Ago, 2021
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
1 Jul, 2021
The information below is effective 1 de julho, 2021 and applies only to the individual market segment in...
P B F
1 Jul, 2021
The information below is effective 1 de julho, 2021 and applies to all commercial employer groups that a...

Products & Benefits

P B F
1 Dez, 2019
In the large group portfolio, we will also be adding eight Network Blue New England Options plans, a...
P B F
1 Dez, 2019
Our regional BlueCHiP family is expanding in the small group market with Effective 1 de janeiro, 2020, ...
P B F
1 Dez, 2019
Effective 1 de janeiro, 2020, BCBSRI will become the insurer for all Lifespan employees. Below is a qui...

Reivindicações

P F
1 Jul, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
1 Jun, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
1 de maio, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...

Policies

P F
1 Set, 2021
Effective 1 de novembro, 2021, for commercial products, criteria used for medical necessity review of t...
P F
1 Set, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 Set, 2021
The following new policy has been created. Effective dates vary so please review the full text of th...
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